THOMAS W CUBBERLEY (M.D.) – Diagnostic Radiology Physician, NPI 1194713867

THOMAS W CUBBERLEY (M.D.) is a healthcare provider. based in South portland, Maine. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. MD17989 (ME). The NPI Number for THOMAS W CUBBERLEY (M.D.) is 1194713867

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
THOMAS W CUBBERLEY (M.D.)
NPI
1194713867
Phone
(207) 482-7800
Address
324 GANNETT DR STE 200
Enumeration Date
7 October 2005
Last Update Date
2 November 2015

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2079738305
Graduation Year
1979 (47 years ago)
PAC ID
6709839855
Group Practice PAC ID
7618871245
Professional Enrollment ID
I20081215000596
Address ID
ME044016616BA489XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

200 DIAGNOSTIC RADIOLOGY in ME

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Provider Addresses for THOMAS W CUBBERLEY (M.D.)

  • Gannett Drive, South Portland, Cumberland County, Maine, 04092, United States

    SOUTH PORTLAND, ME 041063266

    Phone: (207) 482-7800

    Type: Mailing

  • Eastern Maine Medical Center, 489, State Street, Bangor, Penobscot County, Maine, 04401, United States

    BANGOR, ME 044016616

    Phone: (207) 973-8150

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-12-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081215000596IDiagnostic RadiologyMETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71046X-ray of chest, 2 views519491$0
77067Screening mammography456456$0
71045X-ray of chest, 1 view455397$0
77063Screening 3d breast mammography409409$0
77080Dxa bone density measurement of hip, pelvis, spine209209$0
View full utilization report →

Insurance plans in this area (ZIP 04106)

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Provider's Procedures

THOMAS W CUBBERLEY (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYME71250CT scan chest9291
DIAGNOSTIC RADIOLOGYME73110X-ray of wrist, minimum of 3 views4743
DIAGNOSTIC RADIOLOGYME73140X-ray of fingers, minimum of 2 views2017
DIAGNOSTIC RADIOLOGYME73630X-ray of foot, minimum of 3 views134112
DIAGNOSTIC RADIOLOGYME76830Ultrasound pelvis through vagina4241
DIAGNOSTIC RADIOLOGYME76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle1313
DIAGNOSTIC RADIOLOGYME77012Radiological supervision and interpretation of CT guidance for needle insertion1515
DIAGNOSTIC RADIOLOGYME93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers9896

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7618871245View full group profile

Reviews

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Frequently asked questions

Does THOMAS W CUBBERLEY (M.D.) have a public NPI I can cite?
Public records show THOMAS W CUBBERLEY (M.D.) under NPI 1194713867.
Should I treat THOMAS W CUBBERLEY (M.D.) as an active provider?
Patients and plans typically see THOMAS W CUBBERLEY (M.D.) as active in the national extract.
What does the directory say THOMAS W CUBBERLEY (M.D.) does?
Insurance directories may phrase it differently, but here THOMAS W CUBBERLEY (M.D.) maps to Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to THOMAS W CUBBERLEY (M.D.)?
THOMAS W CUBBERLEY (M.D.) is associated with South Portland, Maine in the same public data insurers reference.
Why is information missing for THOMAS W CUBBERLEY (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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